CPEN Certified Pediatric Emergency Nurse Exam

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A 20-day-old male child who has poor eating, bile vomiting, and signs of abdominal pain, but whose abdomen is not swollen, has recently passed small amounts of liquid stool. A small abdominal mass is palpable, the stool guaiac tests positive for blood, and the double bubble sign is shown on the radiograph. What diagnosis do these results imply?

Fecal impaction with overflow diarrhea Renal calculus with ileus Gastroenteritis Malrotation defect with volvulus

Correct Answer:

Malrotation defect with volvulus

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